3.
Types & importance of play{15,21w}
Child Health Nursing
Unit-1.Indroduction:modern
concept of child care
1. Discuss modern concept of pediatric
nursing {21s}
2. What preventive measure can be taken
to to reduce infant mortality rate{21s}
3. Impact of hospitalization on child{14w}
4. Reaction of Toddlers to hospitalization
{15,17w,20s}
5. Internationally accepted rights of
children/ Rights of child {14,16w,15s}
6. Discuss National policy in
children{16,20s}
7. Role of pediatric nurse in child
care{18w}
8. Enlist child Welfare agencies & explain
any one{17s}
9. Post-operative nsg care of child with
Cleft lip{16w}
10. Principles of pre & post-operative care
of infants & children{17w}
11. Nutritional program related to child
health{20s}
12. Role of Pediatric nurse{20s}
LAQ
1. A)Define Cleft lip & palate{14w}
2. B) Discuss preoperative care
3. C)Enlist all postoperative problem &
develop NCP based on 2 post operative
problems
4. A)Define cleft palate{15w}
5. B)Explain surgical mgmt
6. C)Post operative Mag mgmt
Unit-2.The Healthy Child
1. APGAR SCORE{16,18,20s}
2. Principles to be kept in mind while
selecting toys for children {14s,18s}
4. Value of play for children {16w}
5. Baby friendly hospital initiative
{18,19s,21w}
6. Under five clinics{18,19,20,21s}
7. Nutritional assessment in children{14s}
8. Techniques of Breastfeeding {17w}
9. Advantage of Breast
feeding{16,19,21s,14,16w} OR
Importance of breast feeding{17s}
10. Prevention of accident among infant
{15,17s,14,19w,20s}
11. National Immunization
schedule{17s,14,17w}
12. Principles of growth &
development{15,19,21s}
13. Factors influencing growth &
development {16s,16w}
14. Erickson stages of psychosocial
development from birth to adolescents
{19w}
15. ICDS {16,19w}
16. Maintenance of Cold chain{16s,19w}
17. Preventive pediatrics {16s,16w}
LAQ
1. A)DefineGrowth& development{14w}
B) Explain Principle
C) Discuss factors affecting G & D.
(Discuss imp of play{19w})
D)Write down G.D.in infant,also
mentioned milestones of infants{17w}/
various development task of
Toddler{18s}
E)Discuss language development, needs
& problems of a preschoolers{18w}
2. Preterm M.B/o Karuna admitted 8n
NICU with complaints of severe
respiratory distress diagnosed as case of
Asphaxia Neonatrum{15w}
A)Define Preterm Baby
B) Explain APGAR score
C)Explain immediate mgmt of newborn
baby
 3. A)Define Preterm{17w}
B)Physiological handicaps of preterm
C)Write care of preterm in NICU
Unit-3.Nursing Care of Neonate
1. Thermoregulation in Newborn{14s}
2. Prevention of Hypothermia in
neonate{16s}
3. Hypospadias{14s,19w}
4. Neonatal resuscitation{15s,19w}
5. Neonatal resuscitation algorithm NALS
{18w}
6. Essential newborn care{15s}
7. Immediate care of Newborn{19s}
8. Kangaroo mother care{15,17s}
9. Nsg Mgmt of a low birth weight
baby{18w}
10. Omphalitis &it's mgmt{18w}
11. Mgmt of nursing services in
NICU{21s}
12. Prevention of infections in NICU{21w}
LAQ
1. A)Define Low Birth Wt. baby{14w}
B) Characteristics
C)Discuss Msg mgmt
2. A)Define LBW & causes{18s}
B)Physiologic handicap of baby
C)Nsg mgmt
3. A)Define KMC{16s,19s}
B)What are it's components &
advantages
C) Explain procedure of KMC
4. A)Define Neonate{16w}
B) Characteristics of Normal Newborn
C)Discuss nsg care of Normal newborn/
Discuss immediate essential newborn
care
5. A)Define Neonatal Hypothermia{17s}
B)Enlist clinical features
C)Discuss APGAR scoring & it's
important for assessment of newborn
baby
Unit-4.Integrated management of
neonatal & childhood illnesses
(IMNCI).
1. Oral dehydration therapy{14s}
2. Clinical features of dehydration in
children {15s}
3. Role of nurse in IMNCI{17s,14,16w}
4. Mag management of child suffering
from Mumps{15s}
5. Classification of PEM{15w}
6. Nutritional need in PEM{19s}
7. Dietary mgmt of PEM{19w}
8. Kwashiorkor {15s}
9. Sign&Symptoms Kwashiorkor{18s}
10. Marasmus & it's mgmt{18w}
11. IMNCI case management
process{15s,17w}
12. Measles{15,17,19w}
13. Nsg mgmt measles{19s,21w}
LAQ
1. Master Mohan a 21/2yr old child
weighing 7kg is admitted as diagnosed
as case of Kwashiorkor{14s}
A)Define Kwashiorkor
B)state specific observation
C)Develop short term NCP, based on 3
priority problem
2. A)Define & Causes of
Diarrhoea{15,21s}
B)What specific assessment you will
carry out in Dehydration
C)Nsg mgmt of severe dehydration
3. A) Diarrhea causes{16s}
B)List clinical features of 3rd degree
dehydration
C) NCP of diarrhea
4. A)Define PEM{16w}
B)Enlist causes
C)Enlist nsg diagnosis
D) NCP for 2 priority nsg diagnosis
Unit-5.Nursing management in
common childhood diseases-
1. Vitamin A deficiency disorder & it's
management {16s,19w}
2. Ophthalmia neonatorum{18w}
3. Rickets Vit-D{17s,21w}
4. Care of Ventriculo peritoneal
shunt{14s}
5. Care of child with Colostomy
{16,18,21s,15w}
LAQ
6. Care of baby with burn{16s}
7. Fluid management in child with severe
burn{17w}
8. First aid & other mgmt in burn{18w}
9. Complications of acute
glomerulonephritis {14s}
10. Pathophysiology of nephrotic syndrome
{18w}
11. List causes of Iron deficiency
Anaemia{14s}
12. Meningocele{14s}
13. Nurses responsibility during
phototherapy {14w}
14. Nursing care of child with
Convulsions{14w}
15. Classification of congenital Heart
disease{14w}
16. Atrial septal defect{15w}
17. Nursing management of child with
Hydrocephalus {15w,18s}
18. Post operative nsg management of child
with hydrocephalus {17s}
19. Types & clinical manifestation of
hydrocephalus {18w}
20. Enlist classification of Seizures &
explain any one {15w}
21. Wilms Tumor {16s}
22. Nursing care of child with
Conjunctivitis{16w}
23. Nsg management of child with Diabetes
mellitus{17s}
24. Juvenile Delinquency{18s}
25. Health education to parents of child
with Thalassemia{17w}
26. Mgmt of child with
HIV/AIDS{18,21w}
27. Respiratory distress syndrome{20s}
28. Nursing care of a child in
convulsion{20s}
29. Nursing management for neonatal
hypoglycemia {21s}
30. Ophthalmia Neonatal{21s}
31. Jones criteria for RF {21w}
1. A)Define Bilirubinemia{21s}
B) Clinical features & Pathophysiology
C)Nsg mgmt in detail.
2. A)Neonatal Jaundice{18w}
B) Difference between Pathological &
physiological jaundice
C)Enlist needs of child& discuss care of
neonate under phototherapy
3. A)Define Thalassemia{19s}
B)Medical mgmt
C)List nsg diagnosis & NCP
4. A)Define Anemia{19w}
B) Enumerate causes
C)Discuss nsg mgmt& health education
5. A)Define Hydrocephalus {21s}
B)What are causes
C)List clinical features
D)Pre& post operative mgmt
6. Ma.Ajay 11/2 year old admitted in
pediatric surgery unit with diagnosis of
Hydrocephalus {14s,20s}
A)Define Hydrocephalus
B)List down various types of shunt,
procedure& problem associated with it
C) Enlist pre& post operative problem
of child & develop post operative NCP
7. B/o Rekha 1month old admitted for
management of Hirschprungs disease
the infant is posted for colostomy{14s}
A)What is Hirschprungs disease
B) Enumerate clinical features
(What are specific investigation carried
out to diagnosis)15s
C)Nursing care of pre & post operative
 (Health education, Tips for mother
about care of child with Hirschprungs
disease(15w))
8. A) Different types of Pneumonia {19s}
B) Therapeutic mgmt
C)Nsg mgmt based on 3 priority nsg
diagnosis
9. A)Define Bronchiolitis {14w}
B)List clinical features
C)Medical & Surgical mgmt
10. A)Causes of Pleural Effusion in
children{20s}
B) Different investigation carried out in
case of p…..
C)Write imp. aspects of health
education in case of p…..
11. A)Define& enlist causes of Bronchial
Asthma{17w,20s}
B) Pathophysiology (flow diagram)
C)How will you manage in pediatric
emergency department & further nsg
mgmt
12. A)Define & classification of
Epilepsy{15,21s}
B)Clinical manifestation of status
epileptics
C)Nsg mgmt of case of status epileptics.
13. A)Define & clinical manifestation of
Wilm's tumour{15s}
B)What clinical stagings of wilms
tumour
C)Nsg mgmt of child receiving
chemotherapy.
14. A)Name causative organism responsible
for RF{17s,18s,19w}
B)Explain. Jones criteria used for
diagnosing RF
C)Discuss mgmt of child with RF
15. A)Define RF{15w}
B)List Clinical manifestation &
Diagnostic test for RF
C) Nag mgmt
16. Acute Lymphoid Leukemia{16s}
A)Sign&Symptoms, pathophysiology
B)Med.Nsg.mgmt of preschooler
17. A)Define Bacterial meningitis {19w}
B)Clinical features
C)Discuss medical mgmt& nsg care of..
18. Mrs.sita baby of 4 month admitted to
diagnosed with Meningitis{21w}
A)Define Meningitis
B)Causes& Sign&Symptoms
C)Enlist nsg diagnosis& 2ncp
19. A) Define Spina Bifida{21w}
B)Classify it(Draw Diagram)
C)Pre& post mgmt of child with
Meningomyelocele
20. A) Classification of Spina Bifida{16s}
B)State assessment finding &
Diagnostic test carried out for
Meningomyelocele
C) Develop pre& post NCP
21. A)Enlist communicable disease in
children{16w}
B)Clinical manifestation Chicken Pox
C) Describe prevention of chicken pox
D) Discuss nsg mgmt
22. A)Define Congenital Heart
disease{16w}
B)Classify it
C)Discuss about Ventriculo septal
defect
23. A)Enlist causes of congenital heart
disease {18w}
B)Clinical manifestation of child with
Cyanotic heart disease
C)List nsg diagnosis develop ncp
24. A)Define Nephritic Syndrome{18s}
B) Pathophysiology
C)Nsg mgmt as per priority
25. A) Define Acute
Glomerulonephritis{17s}
B)Enlist clinical manifestation
C) Discuss med.nsg.mgmt.
26. A)Neural Tube Defect{17w}
B)Enlist Causes & clinical
manifestation/Types{19s}
C) Explain treatment & Nsg mgmt
Unit-6.Management of Pediatrics OPD/Immunization
behavioural & social Problems in ward
children. ● National Immunization
1. Enuresis &it's mgmt {14,18s,15w,20s} schedule{17s,14,17,21w}
2. Child abuse{14w} Pediatric medicine & surgery ICU
3. Child Guidance clinic {15s,19w} 1. Care of child with phototherapy {19s}
4. Behavioral problem in children {19s} 2. Phototherapy & nurses role during
5. Nail hitting{20s} phototherapy {19w}
6. Speech disorder in children {21s} LAQ
7. Behavioural characteristics of 1. A)Define Tracheo-oesophageal
Toddler{21w} fistula{17w}
LAQ B)Types / Clinical feature (TO
● Master John 4 yrs old child hospitalised FISTULA) {18w}
with severe mental retardation {21w} C) Develop short term post operative
A)Define mental retardation ncp based on 2 priority problem for
B) Classification of it child with Tracheo-oeslphageal fistula
C)Discuss nsg mgmt D) Writer mgmt of T.O.fistula
Extra Question
● Temper tantrum in toddlers
{17s,14,15,16,18w}
● Sleep disorders in children {15s}
● Neonatal Reflexes{17w}
● Neonatal sepsis{17w}
● Classification of Tracheo- esophageal
fistula {17w,18s}
● Foreign body obstruction in
children{19s}
Pediatrics medicine ward
● Oral dehydration therapy{14s,21w}
● Discuss types of restraints used in
children{16w}
● Nurses responsibility during Oxygen
Therapy{17s,21w}
● Discuss method of O2 administration
{19s}
Pediatrics surgery ward
1. Prevention of infection in Pediatric
surgical unit{18s}
Child Health Nursing
Unit-1.Indroduction:modern concept of child care
1. Discuss modern concept of pediatric nursing {21s}
2. What preventive measure can be taken to to reduce infant mortality rate{21s}
3. Impact of hospitalization on child{14w}
4. Reaction of Toddlers to hospitalization {15,17w,20s}
5. Internationally accepted rights of children/ Rights of child {14,16w,15s}
6. Discuss National policy in children{16,20s}
7. Role of pediatric nurse in child care{18w}
8. Enlist child Welfare agencies & explain any one{17s}
9. Post-operative nsg care of child with Cleft lip{16w}
10. Principles of pre & post-operative care of infants & children{17w}
11. Nutritional program related to child health{20s}
12. Role of Pediatric nurse{20s}
LAQ
1. A)Define Cleft lip & palate{14w}
B) Discuss preoperative care
C)Enlist all postoperative problem & develop NCP based on 2 post operative problems
2. A)Define cleft palate{15w}
B)Explain surgical mgmt
C)Post operative Mag mgmt
Unit-2.The Healthy Child
1. APGAR SCORE{16,18,20s}
2. Principles to be kept in mind while selecting toys for children {14s,18s}
3. Types & importance of play{15,21w}
4. Value of play for children {16w}
5. Baby friendly hospital initiative {18,19s,21w}
6. Under five clinics{18,19,20,21s}
7. Nutritional assessment in children{14s}
8. Techniques of Breastfeeding {17w}
9. Advantage of Breast feeding{16,19,21s,14,16w} OR
10. Importance of breast feeding{17s}
11. Prevention of accident among infant {15,17s,14,19w,20s}
12. National Immunization schedule{17s,14,17w}
13. Principles of growth & development{15,19,21s}
14. Factors influencing growth & development {16s,16w}
15. Erickson stages of psychosocial development from birth to adolescents {19w}
16. ICDS {16,19w}
17. Maintenance of Cold chain{16s,19w}
18. Preventive pediatrics {16s,16w}
LAQ
1. A)DefineGrowth& development{14w}
B) Explain Principle
C) Discuss factors affecting G & D.
 (Discuss imp of play{19w})
D)Write down G.D.in infant,also mentioned milestones of infants{17w}/ various
development task of Toddler{18s}
E)Discuss language development, needs & problems of a preschoolers{18w}
2. Preterm M.B/o Karuna admitted 8n NICU with complaints of severe respiratory distress
diagnosed as case of Asphaxia Neonatrum{15w}
A)Define Preterm Baby
B) Explain APGAR score
C)Explain immediate mgmt of newborn baby
3. A)Define Preterm{17w}
B)Physiological handicaps of preterm
C)Write care of preterm in NICU
Unit-3.Nursing Care of Neonate
1. Thermoregulation in Newborn{14s}
2. Prevention of Hypothermia in neonate{16s}
3. Hypospadias{14s,19w}
4. Neonatal resuscitation{15s,19w}
5. Neonatal resuscitation algorithm NALS {18w}
6. Essential newborn care{15s}
7. Immediate care of Newborn{19s}
8. Kangaroo mother care{15,17s}
9. Nsg Mgmt of a low birth weight baby{18w}
10. Omphalitis &it's mgmt{18w}
11. Mgmt of nursing services in NICU{21s}
12. Prevention of infections in NICU{21w}
LAQ
1. A)Define Low Birth Wt. baby{14w}
B) Characteristics
C)Discuss Msg mgmt
2. A)Define LBW & causes{18s}
B)Physiologic handicap of baby
C)Nsg mgmt
3. A)Define KMC{16s,19s}
B)What are it's components & advantages
C) Explain procedure of KMC
4. A)Define Neonate{16w}
B) Characteristics of Normal Newborn
C)Discuss nsg care of Normal newborn/ Discuss immediate essential newborn care
5. A)Define Neonatal Hypothermia{17s}
B)Enlist clinical features
C)Discuss APGAR scoring & it's important for assessment of newborn baby
Unit-4.Integrated management of neonatal & childhood illnesses
(IMNCI).
1. Oral dehydration therapy{14s}
2. Clinical features of dehydration in children {15s}
3. Role of nurse in IMNCI{17s,14,16w}
 4. Mag management of child suffering from Mumps{15s}
5. Classification of PEM{15w}
6. Nutritional need in PEM{19s}
7. Dietary mgmt of PEM{19w}
8. Kwashiorkor {15s}
9. Sign&Symptoms Kwashiorkor{18s}
10. Marasmus & it's mgmt{18w}
11. IMNCI case management process{15s,17w}
12. Measles{15,17,19w}
13. Nsg mgmt measles{19s,21w}
LAQ
1. Master Mohan a 21/2yr old child weighing 7kg is admitted as diagnosed as case of
Kwashiorkor{14s}
A)Define Kwashiorkor
B)state specific observation
C)Develop short term NCP, based on 3 priority problem
2. A)Define & Causes of Diarrhoea{15,21s}
B)What specific assessment you will carry out in Dehydration
C)Nsg mgmt of severe dehydration
3. A) Diarrhea causes{16s}
B)List clinical features of 3rd degree dehydration
C) NCP of diarrhea
4. A)Define PEM{16w}
B)Enlist causes
C)Enlist nsg diagnosis
D) NCP for 2 priority nsg diagnosis
Unit-5.Nursing management in common childhood diseases-
1. Vitamin A deficiency disorder & it's management {16s,19w}
2. Ophthalmia neonatorum{18w}
3. Rickets Vit-D{17s,21w}
4. Care of Ventriculo peritoneal shunt{14s}
5. Care of child with Colostomy {16,18,21s,15w}
6. Care of baby with burn{16s}
7. Fluid management in child with severe burn{17w}
8. First aid & other mgmt in burn{18w}
9. Complications of acute glomerulonephritis {14s}
10. Pathophysiology of nephrotic syndrome {18w}
11. List causes of Iron deficiency Anaemia{14s}
12. Meningocele{14s}
13. Nurses responsibility during phototherapy {14w}
14. Nursing care of child with Convulsions{14w}
15. Classification of congenital Heart disease{14w}
16. Atrial septal defect{15w}
17. Nursing management of child with Hydrocephalus {15w,18s}
18. Post operative nsg management of child with hydrocephalus {17s}
19. Types & clinical manifestation of hydrocephalus {18w}
20. Enlist classification of Seizures & explain any one {15w}
 21. Wilms Tumor {16s}
22. Nursing care of child with Conjunctivitis{16w}
23. Nsg management of child with Diabetes mellitus{17s}
24. Juvenile Delinquency{18s}
25. Health education to parents of child with Thalassemia{17w}
26. Mgmt of child with HIV/AIDS{18,21w}
27. Respiratory distress syndrome{20s}
28. Nursing care of a child in convulsion{20s}
29. Nursing management for neonatal hypoglycemia {21s}
30. Ophthalmia Neonatal{21s}
31. Jones criteria for RF {21w}
LAQ
1. A)Define Bilirubinemia{21s}
B) Clinical features & Pathophysiology
C)Nsg mgmt in detail.
2. A)Neonatal Jaundice{18w}
B) Difference between Pathological & physiological jaundice
C)Enlist needs of child& discuss care of neonate under phototherapy
3. A)Define Thalassemia{19s}
B)Medical mgmt
C)List nsg diagnosis & NCP
4. A)Define Anemia{19w}
B) Enumerate causes
C)Discuss nsg mgmt& health education
5. A)Define Hydrocephalus {21s}
B)What are causes
C)List clinical features
D)Pre& post operative mgmt
6. Ma.Ajay 11/2 year old admitted in pediatric surgery unit with diagnosis of Hydrocephalus
{14s,20s}
7. A)Define Hydrocephalus
B)List down various types of shunt, procedure& problem associated with it
C) Enlist pre& post operative problem of child & develop post operative NCP
8. B/o Rekha 1month old admitted for management of Hirschprungs disease the infant is posted
for colostomy{14s}
A)What is Hirschprungs disease
B) Enumerate clinical features
(What are specific investigation carried out to diagnosis)15s
C)Nursing care of pre & post operative
(Health education, Tips for mother about care of child with Hirschprungs disease(15w))
9. A) Different types of Pneumonia {19s}
B) Therapeutic mgmt
C)Nsg mgmt based on 3 priority nsg diagnosis
10. A)Define Bronchiolitis {14w}
B)List clinical features
C)Medical & Surgical mgmt
11. A)Causes of Pleural Effusion in children{20s}
 B) Different investigation carried out in case of p…..
C)Write imp. aspects of health education in case of p…..
12. A)Define& enlist causes of Bronchial Asthma{17w,20s}
B) Pathophysiology (flow diagram)
C)How will you manage in pediatric emergency department & further nsg mgmt
13. A)Define & classification of Epilepsy{15,21s}
B)Clinical manifestation of status epileptics
C)Nsg mgmt of case of status epileptics.
14. A)Define & clinical manifestation of Wilm's tumour{15s}
B)What clinical stagings of wilms tumour
C)Nsg mgmt of child receiving chemotherapy.
15. A)Name causative organism responsible for RF{17s,18s,19w}
B)Explain. Jones criteria used for diagnosing RF
C)Discuss mgmt of child with RF
16. A)Define RF{15w}
B)List Clinical manifestation & Diagnostic test for RF
C) Nag mgmt
17. Acute Lymphoid Leukemia{16s}
A)Sign&Symptoms, pathophysiology
B)Med.Nsg.mgmt of preschooler
18. A)Define Bacterial meningitis {19w}
B)Clinical features
19. C)Discuss medical mgmt& nsg care of..
20. Mrs.sita baby of 4 month admitted to diagnosed with Meningitis{21w}
A)Define Meningitis
B)Causes& Sign&Symptoms
21. C)Enlist nsg diagnosis& 2ncp
A) Define Spina Bifida{21w}
B)Classify it(Draw Diagram)
C)Pre& post mgmt of child with Meningomyelocele
22. A) Classification of Spina Bifida{16s}
B)State assessment finding & Diagnostic test carried out for Meningomyelocele
C) Develop pre& post NCP
23. A)Enlist communicable disease in children{16w}
B)Clinical manifestation Chicken Pox
C) Describe prevention of chicken pox
D) Discuss nsg mgmt
24. A)Define Congenital Heart disease{16w}
B)Classify it
C)Discuss about Ventriculo septal defect
25. A)Enlist causes of congenital heart disease {18w}
B)Clinical manifestation of child with Cyanotic heart disease
C)List nsg diagnosis develop ncp
26. A)Define Nephritic Syndrome{18s}
B) Pathophysiology
C)Nsg mgmt as per priority
27. A) Define Acute Glomerulonephritis{17s}
B)Enlist clinical manifestation
 C) Discuss med.nsg.mgmt.
28. A)Neural Tube Defect{17w}
B)Enlist Causes & clinical manifestation/Types{19s}
C) Explain treatment & Nsg mgmt
Unit-6.Management of behavioural & social Problems in children.
1. Enuresis &it's mgmt {14,18s,15w,20s}
2. Child abuse{14w}
3. Child Guidance clinic {15s,19w}
4. Behavioral problem in children {19s}
5. Nail hitting{20s}
6. Speech disorder in children {21s}
7. Behavioural characteristics of Toddler{21w}
LAQ
● Master John 4 yrs old child hospitalised with severe mental retardation {21w}
A)Define mental retardation
B) Classification of it
C)Discuss nsg mgmt
Extra Question
● Temper tantrum in toddlers {17s,14,15,16,18w}
● Sleep disorders in children {15s}
● Neonatal Reflexes{17w}
● Neonatal sepsis{17w}
● Classification of Tracheo- esophageal fistula {17w,18s}
● Foreign body obstruction in children{19s}
Pediatrics medicine ward
● Oral dehydration therapy{14s,21w}
● Discuss types of restraints used in children{16w}
● Nurses responsibility during Oxygen Therapy{17s,21w}
● Discuss method of O2 administration {19s}
Pediatrics surgery ward
● Prevention of infection in Pediatric surgical unit{18s}
Pediatrics OPD / Immunization ward
● National Immunization schedule{17s,14,17,21w}
Pediatric medicine & surgery ICU
● Care of child with phototherapy {19s}
● Phototherapy & nurses role during phototherapy {19w}
LAQ
● A)Define Tracheo-oesophageal fistula{17w}
B)Types / Clinical feature (TO FISTULA) {18w}
C) Develop short term post operative ncp based on 2 priority problem for child with
Tracheo-oeslphageal fistula
D) Writer mgmt of T.O.fistula